Medico-therapeutic and diagnostic apparatus



Nov. 16, 1926. 1,606,876.

S. HOCH ET AL MEDICO-THERAPEUTIC AND DIAGNOSTIC APPARATUS Filed Dec. 19. 1924 6 E 1w NTOR? DMQQOQQ L ATTORNEY .i ateiiteei Nov. 15, 1926.

UNITED STATES PATENT OFFICE.

SAMUEL HOCH AND DEBORAH HOCH, OF NEW YORK, N. Y.-

MEDICO-THERAPEUTIC AND DIAGNOSTIC APPARATUS.

Application filed December 19, 1924.

The present invention relates to improvements in medico-therapeutic and diagnostic apparatus for types known as intestinal irrigators for use in baths for subaqueous applications.

Among the several objects of the apparatus is the provision of a rectal tube, accessible from the rear of the patient, which will permit of a natural and comfortable \1 sitting position conducive to defecation, the

device supporting the rectal tube being flexibly and self conformably mounted to prevent pressure on the walls of the intestines.

Another feature is to provide a seat or saddle having binding means which prevent the entrance of fecal matter into the vagina of females, if used by them, the saddle and binders being easily and thoroughly sterilized as is customary and necessary.

A further aim is to produce a device in which strict isolation of the infio-wing medicated liquor and the outfiowing septic con tents of the intestines is maintained and the medicated water in the bath used to increase the therapeutic action of the treatment.

A still further object is to provide a hygienic and sanitary receptacle for the excreta, air and water tight, and easily sterilizable, the same containing a strainer to separate the solid from the liquid parts, enabling the former to be preserved for chemical, biological and bacteriological analysis.

These, and other objects and advantages of the invention, which will become more fully known as the description proceeds, are secured by the novel construction, combination and arrangement of parts hereinafter described and shown in the annexed drawing, forming a material part of this disclosure, and in which 7 Fig. 1 is a longitudinal sectional view of a bath tub equipped with an irrigating device constructed in accordance with the invention and illustrating its application.

Fig. 2 is atop plan view of the saddle and binder used in connection therewith,

drawn to an enlarged scale. a

Fig. 3 is a side elevation view of the same.

Fig. A is an enlarged'fragmentary sectional view taken on line A-4 of Fig. 2.

Fig. 5 is a sectional detail view taken through the regulating means, substantially on line 5-5 of Fig. 3.

The bathtub, designated generally by the Serial No. 756,922.

numeral 10 in the drawing, is shown as having a raised bottom portion to provide a seat, and may be filled with water or med icated liquid to a level indicated at 11.

The apparatus consists of a hollow body 12, having a saddle shaped upper surface 1% provided with a front extension 15 and a corresponding rear extension 16, these extensions being so shaped as to conform to the buttocks of a patient, and a pair of di vergent binders 17 at the front and a single like element 18 at the rear are capable of being brought into intimate relation with the body, to which they maybe secured by any convenient means, a binder 17 having a single forwardly extending element being provided for females, .by which the vagina is protected.

Extending from the front of the element 12 is a tubular projection 19 engageable with a flexible conduit 20 communicating with a sectional globular receptacle 21 disposed n-ear the foot of the tub.

The lower section of receptacle 21 is shown as resting upon a seat 22 secured to the bot tom of the tub and provided with'an outlet pipe 23 communicating with a drain, however, this receptacle may be positioned at i any height found to be most convenient.

l/Vithin the receptacle is a finely meshed sieve like container'24 to separate the solid fecal matter from the liquid, and is'provided with a handle 25 extending out through the line of juncture of the sections, shown here as at the median line of the receptacle, this container being readily removable at will, to permit examination of the matter therein or rotatable todump the contents as preferred.

A rectal tube or irrigator nozzle. 26 having a rounded endprovided with perforations 27 is supported on the end of a tube 28, bent at a right angle, its horizontal portion extending outwardly through a recess 29 in the rear wall of the hollow body 12, to engage axially in the bulbous forward end 30 of a housing 31, containing a bored chamber 32. i I

A plunger 33 is loosely fitted to the bore and provided with an extending knurled operating head 34, the plunger having an annular recess in which is fitted a packing ring 35, and said plunger is further provid- The rear end of the tube 28 is screwthreaded into the inner end of the plunger, as at 37, and provided with holes 38 in communication with the chamber 32.

In order to maintain a liquid tight joint between the walls of the recess 29 and end 30 of the housing, a rubber nipple or packing 39- is inter osed and held in close en 'a 'ep 3 O ment by a flat spring 40 attached to the rear wall of the hollow body 12 and bent to pro ject over the outer end of the housing, the spring being forked at 4:1 to straddle the plunger 33 which extends through it.

A pair of nipples 4.2 and 43 are fixed in the housing 31 to communicate with the chamber or bore 32, one of these nipples 42 having engaged upon it a flexible tube it the rear, theplunger 33 moving outwardly.

to accommodate such movement.

The supply tube 4% will be supplied with avalve, not shown, to control the inlet of liquid,.while the tube 45 is provided with a. spring clamp for constricting or efieetively closingits bore while the supply tube is in use. Should, however, an overpressure be indicated by the manometer, (not shown) then the supply is shut off and thespring clamp released to permit patient tobe' re-L lieved of overpressure by. allowing the liquid in the intestines to be. drained oil into the receptacle 21. To hasten the relief from the overpressure, the supply. tube is disconnected from its valve and instead, attached to the nipple 46, thus providing a double dis-' charge from the patient.

It will be readily understood that this apparatus can be manipulated by skilled experts only as its operation by laymem untrained physicians. or nurses might prove dangerous. I

It is to beunderstood that therectal tube 2-6 is guided by hand from the back of the patient, to point rearwardly, avoiding excessive contact with the walls of the rectum and pressure upon hemorrhoids, which usualy exist in cases where there is constipation, and. where the use of the apparatus is beneficial, which in the hands of an expert and experienced physician, is not only of therapeutic value, but a material aid in diagnosis.

It is also to be noted that the medicated water in the tub will support and increa e the therapeutic action of the treatment by stimulating elimination through the skin and resorption of the ingredients.

The foregoing disclosure is to be regarded as descriptive and illustrative only, and not as restrictive or liinitive of the invention, of which obviously an embodiment may be constructed including ,many modifications without departing from the general scope herein indicated and denoted in the append ed claims.

Having thus described our invention, what we claim as new and desire to secure by Letters Patent, is:

1. An intestinal irrigating apparatus for use in a bath tub, comprising a saddle shaped seat, binders on said seat, to contact with. the person subjected 'to treatment, a rectal tube extending upward from said seat, said tube having a rearward extension, a housing", a plunger in said housing into which said extension is engaged, means for preventing leakage between said housing and said seat, said means being limitedly angularly displaceable and capable of rotation, means to maintain said housing in intimatelcontact with said seat, means to conduct fluids into said housing, and means to carry away a surplus of liquid and gases fromv said housing. 7

2. An intestinal. irrigating apparatus for use in bath tubs. comprising a hollow saddle shaped seat having a recess in its rear wall, a housing having a bulbous point engaging in the recess, means for pressing the housing towards the recess, a packing intermediate the recess and housing point, a plunger movable in said housing, means limitingthe entry of said plunger, a rectal .tube fixed at one end in said plunger and extending upward through said seat, means for conveying liquid to the space in said housing to communicate with said tube,and means for removing excess liquid from said housing. p I

3. An intestinal irrigating apparatus for use in bath tubs, comprising a hollow saddle shaped seat having a recess in its rearwall, a housing pivotally mounted in the recess, a spring pressing the housing toits seatin the I recess, a plunger movable in the housing, a rectal tube extending upward through said seat, a right angled rearward extension. on said tube, said extension being fixed in said plunger angularly' and rotatably vmovable therewith, and means for the inlet and outlet of fluids to said housing and tube.

Signed at New York, in the county of New York and State of New York, this 9th day of December 1924., f M H SAMUEL HOCH.

DEBORAH HUGH. 

